Provider Demographics
NPI:1932287166
Name:PERRY H ZAND MD PC
Entity type:Organization
Organization Name:PERRY H ZAND MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ZAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-662-1122
Mailing Address - Street 1:1005 CARDINAL LANE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2944
Mailing Address - Country:US
Mailing Address - Phone:856-429-4460
Mailing Address - Fax:856-429-4212
Practice Address - Street 1:2201 CHAPEL AVENUE WEST
Practice Address - Street 2:SUITE 104
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2048
Practice Address - Country:US
Practice Address - Phone:856-662-1122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA029791002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ031750120Medicaid
C52942Medicare UPIN
NJ085320Medicare PIN